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Be aware how your voice works. Have you ever pulled the open end of an air filled balloon tight and the air rushes out at a squeal like pitch, then the more you open the balloon, the quieter and lower the pitch gets. This is a literal representation of your vocal chords.
Vocal cord paresis occurs when one or both vocal cords don't open and close properly, changing voice quality. When one or both vocal cords don't move at all, this is called vocal cord paralysis. If both vocal cords are paralyzed and remain in the closed position, breathing can be difficult.